Author Question: An adolescent patient comes to the clinic complaining of a burning sensation upon urination and a ... (Read 34 times)

leo leo · **on:** Jul 23, 2018

An adolescent patient comes to the clinic complaining of a burning sensation upon urination and a pus-like discharge from the penis. The nurse is correct to suspect that the patient has which disorder?

a. Gonorrhea
b. Herpes simplex
c. Nongonococcal urethritis
d. Syphilis

Question 2

A nurse is teaching a group of adolescent students about sexually transmitted diseases. Which statement by a student indicates understanding of infections caused by C. trachomatis?

a. Chlamydia trachomatis conjunctivitis in newborns can result in blindness.
b. The CDC recommends screening for chlamydial infections in all sexually active men.
c. Treatment for C. trachomatis should be initiated when infections are symptomatic.
d. Women with asymptomatic Chlamydia trachomatis infections can become sterile.

sarah_brady415 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: A
This patient has signs and symptoms consistent with gonorrhea. Herpes simplex manifests as vesicles on the penis or testes (or both) with a watery discharge. Nongonococcal urethritis results in ulcers on the urethral site. Syphilis is characterized by chancres and skin lesions.

Answer to Question 2

ANS: D
Chlamydial infections are frequently asymptomatic in women and may be asymptomatic in men; they can cause sterility in women. C. trachomatis conjunctivitis in newborns does not result in blindness. The Centers for Disease Control and Prevention (CDC) recommends routine screening in sexually active women under age 25 and for those over age 25 with new partners or multiple partners. Treatment should begin when infections are identified, regardless of whether they are symptomatic.